HomeMy Public PortalAbout5820 OAK AVE_Plumbing__ r
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MA667 CE817 6-6
APPLICATION FOR PLUMBING PERMIT a 1
COUNTY OF LOS ANGELES
DEPARTIIENT OF COUNTY ENGIIMR
BUILDING AND SAFETY DIVISION � G
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LocAL1T:
FOR APPLICANT TO FILL IN
NUMBER FIXTURE OR ITEM
WATER C!OSS! OWN=
SATS TUB ADD8888 °2 I
SHOWER TEL NO
4-10
LAVATORY
SII ADDRESS
DISBWASSER CITY TSL NO
LAUNDRY TOS CONTSACYOR S STATE E3�� HBGS TSATION NO COUNTY
CLOTHES WASHER DISTRICT NO GROUP I ZONE PRPCZSSED BY
WATER RATER
GAS SYSTEN IIQDUSTBIAL
WASTE APPROVAL
ON RECORD
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BIS
/ APPROVALS
OS FgTURE 4 I DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK M
PERMIT s 1 '2100 ROUGH PLUMBING
TSTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AlrPLICATIOM GAS VENT
Al!) STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY HOT WATE HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING IXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TV
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LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND ATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF ABOVE UTILITY CO NOTIFIED -Z �'
DESCRIBED RESIDEN L PROPERTY
SIGNATURE �iQ� FINAL is
OF PERMITTER
BERTA
®� VALIDATION SUP ER IS NG MECOENGHANICAL NG R
CR Y O CASH
4r,07 2 7 4 u; NOV 10 5 A 900 M
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